Information

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  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Do personnel have the correct personal safety gear?

  • Is all safety equipment checked to ensure it is in working order, serviced and calibrated?

  • Personnel are aware of accident and hazard reporting?

  • Are safety provisions in place and adequate? (Traffic control, site safety, confined spaces entry)

  • Is a first aid kit on site and in good condition/complete?

  • Fire extinguisher on site and serviced?

  • Storage and handling of materials to standard?

  • Chemicals/Fuel - Labeled- Correct Containers-Storage?

  • Are the Asbethos handling procedures being followed?

  • Has the relevant service authority been notified? (E.g OSH)

  • Are H&S plans, Quality plans, Traffic plans, etc on site and being followed?

  • Do personnel have health & safety issues to be raised and actioned?

  • Plant and vehicles to be within certification period /COF/WOF/Road user charges/Hubodometer/Speedometer, to be in credit?

  • Does the contract have environmental considerations?

  • Has an environmental safeguard checklist been used (silt, slurry, noise, dust control)? Are all controls sufficient?

  • Are personnel aware of environment protection, objectives and targets?

  • Have actual or potential hazardous conditions / impact to people or the environment been assessed, eliminated, isolated or minimised?

  • Have hazardous materials; flammable, toxic gases, and other substances been assessed, and eliminated isolated or minimized?

  • Are silt, slurry, noise, dust, etc, controls in place?

  • Have residents been notified of work where necessary?

  • Sufficient personnel on the job to ensure effective completion?

  • Have there been any customer complaints?

  • Is the site safe and tidy for the public/owner?

  • Are materials (pipes, manholes, fittings, invert connectors, bedding, grille etc) compliant with COP?

  • Is method of contruction and workmanship (welding for PE, single/multi riser manhole, backfill compaction, grassing etc) complaint with requirements?

  • Is testing (visual, air test, water test) satisfactory?

  • Do personnel have any ideas for improvement of work methodology or procedures?

  • Tap to enter information

  • Date of Audit

  • Address
  • Name of contractor

  • Job

Health and Safety Audit

  • Do personnel have correct personal safety gear?

  • Is all safety equipment checked to ensure it is in working order, serviced and calibrated?

  • Personnel are aware of accident and hazard reporting?

  • Are safety provisions in place and adequate? (Traffic control, Site Safety, Confined Space Entry)

  • Is a first aid kit on site and in good condition/complete?

  • Fire extinguisher on site and serviced?

  • Storage and handling of materials to standard?

  • Chemicals/fuel-labeled-correct containers-storage?

  • Are the asbesthos handling procedures being followed?

  • Has relevant service authority been notified? (E.g OSH?)

  • Are H&S plans, Quality plans, Traffic plans on site and being followed?

  • Do personnel have any H&S issues to be raised and actioned?

  • Plant and vehicle to be within certification period/COF/WOF/Road user charges/hubodometer/Speedometer to be in credit?

  • Notes

Environmental Audit

  • Does the contract have Environmental considerations?

  • Has an Environmental Safeguard checklist been used (silt, slurry, noise, dust, control)? Are all controls sufficient?

  • Are personnel aware of environmental protection objectives and targets?

  • Have actual or potential hazardous conditions/impact to people/or the environment been assessed, eliminated, isolated or minimised?

  • Have hazardous materials; flammable, toxic gases, and other substances been assessed and eliminated , isolated or minimised?

Tap to enter information

  • Are silt/slurry/noise/dust, etc controls in place?

  • Notes

Quality Control Audit

  • Have residents been notified of work where necessary?

  • Sufficient personnel on the job to ensure effective completion?

  • Have there been any customer complaints?

  • Is the site tidy and safe for the public/owner?

  • Are materials (pipes, manholes, fittings, invert connectors, bedding, grille, etc) compliant with COP?

  • Is method of construction and workmanship (welding for PE, single/multi riser manhole, backfill compaction, grassing etc) compliant with requirements?

  • Is testing (visual, air test, water test) satisfactory?

  • Do personnel have any ideas for improvement of work methodology or procedures?

  • Notes:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.